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題名 | Sleep Quality in Chronic Mechanical Ventilation-Dependent Patients Using Different Ventilator Modes: Preliminary Data and Literature Review=使用不同呼吸器設定之慢性呼吸器依賴病人的睡眠品質:初報與文獻討論 |
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作者 | 王耀東; 邱國樑; 杭良文; 夏德椿; 施純明; 徐武輝; | 書刊名 | 胸腔醫學 |
卷期 | 19:6 2004.12[民93.12] |
頁次 | 頁430-435 |
分類號 | 415.41 |
關鍵詞 | 睡眠品質; 呼吸器依賴病人; 呼吸器模式; Sleep quality; Mechanical ventilation-dependent patients; Ventilator modes; |
語文 | 英文(English) |
中文摘要 | 背景:急性重症病人的睡眠剝奪已經被許多研究證實。本篇報告在研究慢性呼吸器依賴病人的睡眠品質,並比較不同的呼吸器模式是否會影響病患之睡眠品質。 方法:5位使用呼吸器大於九週的呼吸照護病房之慢性呼吸器依賴患者,都在輔助控制模式(AC mode)和壓力支持模式(PS mode)下接受24小時的多頻道睡眠檢查,並記錄其相關睡眠指數。 結果:所有病人的大部分相關睡眠指數都與急性重症病人相似,如第一期和第二期睡眠時間的顯著延長,第三、四期與快速動眼期睡眠時間的明顯縮短,以及嚴重的睡眠片斷化,但是總睡眠時數與一般人並無差異。另外,病患的睡眠品質在兩種不同呼吸器模式下並無明顯差異。 結論:慢性呼吸器依賴病人的睡眠特性與急性重症病人相似,但總睡眠時數與一般人無差異,且兩種不同的呼吸器模式對慢性呼吸器依賴病人的睡眠品質無明顯影響。 |
英文摘要 | Background: The impaired sleep quality of acutely ill patients has been reported in several studies. The aim of our study was to evaluate the sleep patterns of chronically ventilated patients and to determine whether their sleep quality is influenced by the modes of mechanical ventilation. Methods: We performed polysomnography on 5 chronic ventilator-dependent patients for about 24 hours, in different assist-control ventilation and pressure support modes, and then recorded the sleep architecture and latency of the different sleep stages. Results: The mean total sleep time was within normal range, but the results of other sleep stage parameters, such as the markedly increased stage 1 and stage 2 non-rapid eye movement sleep, severely reduced slow wave sleep and rapid eye movement sleep period, and sleep fragmentation, were similar to those of the previous reports of acutely ill patients. The sleep profile showed no significant difference between the effects of the assist-control model and the pressure support mode. Conclusion: Chronically ventilated patients have similar sleep disruption and as severe sleep fragmentation as acutely ill patients, except for the total sleep time. There is no evidence to prove whether sleep quality is influenced by different mechanical ventilation modes, such as the assist-control mode and the pressure support mode. |
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